Laserfiche WebLink
BUSINESS CERTIFICATE#07. <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASIIPEE <br /> DATE <br /> i <br /> Expiration Date: December 31, 2011 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby dcclare(s))tthat a business under the title of <br /> D <br /> BA Gt (,n <br /> 4P.E /_ l�L <br /> /.E'rF 1t GflWD4W.4 ST is conducted at <br /> Business Location: —3,� �ESNage- AD /}�,¢SNPEF, h'IA .OZ6¢.? <br /> Business Mailing Address: J;4me— <br /> o7SbyBusiness Type: fag/as Business Telephone: Som 776. 707S- <br /> by <br /> the following named persons: <br /> ....A�UL ' RESIDENCE <br /> �Is,EPs! �J: /Sa2o�sr�i 3� n/<S'.t/o.9E ,CSD. , �'d7.�-she�DEE,m,4 aZ6�q <br /> Home Phone: <br /> I certify under the penalties of perjury that I, to the best of my lmowledgeand belief, have filed all state tax returns and paid all state <br /> •xes as wired r law. <br /> *S' lure of authorized agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> n— .In case of emergency <br /> ME <br /> NA : Ay dogdO✓e TELEPHONE NUMBER: <br /> Alarm Company: . <br /> *This license will not be issued unless this certification is signed by applicant <br /> "Your social security number will be furnished to the Massachusetts Department of Revenue to determine.whether you have met tax filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subiect to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C, Section 49A. . <br /> The Commonwealth ofWassachusetts ��,�,,,, <br /> BARNSTABLE ss DATE&-/-6 12 <br /> Personally appeared before me the above-name and made oath that the foregoing statement is <br /> true. 14 <br /> A certificate issued in accordance with this se on shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four years thereafter so long as such business shall be conducted and shall lapse and be void unlLorenewed. <br /> ed <br /> Notary Public <br /> SEAL <br /> JOSEPH L.MAMUCCHEW,:Ill <br /> eo T t�sxUSEM <br /> My Cam==Eg ims <br /> Oclaher 29.2013 <br />